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Home My WebLink About0417 YARMOUTH ROAD - HAZMAT mvu4b Rc) j4,1 Y n IS E , . o 1 °F�HE row Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 9 BARN ssg`E'�. 200 Main Street• Hyannis, MA 02601 .63q. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rE0 MP'�e 1 J Business Name: �`�-'less A`'}-i> Date: Location/Mailing Address: y %-I Contact Name/Phone: y 10. c,,.r#,e, F¢<<2., 7-7y. 8-3 2--4:1 Inventory Total Amount: G� SDS: I"' � �'�^'� License#: Tier II : a Labelina: D K Spill Plan: AL) — Oil/Water Separator: MIA Floor Drains: o Emergency Numbers: OK Storage Areas/Tanks: 0-V0\!4 11t WA, � A\-A- 5 � ��.�i + -c p-v0gk-%,k-> Emer enc /Containment E ui ent: Waste Generator ID: A Waste Product: Date&Amount of LasIS , ment/Fre uenc Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid v7 Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash V Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents ,� Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/R CO MENDATIONS: D G, o Ct,` IM•�e - I Inspector: L Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS °Fs►�r Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • RgRMASS. * 200 Main Street• Hyannis, MA 02601 ,a,q .e� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rE0 DAP'a Business Name: A-%e4 - less I` oic> Date: Location/Mailing Address: 41'7 4<wk�, Contact Name/Phone: (J b r t 5 a v-a �e«� 01- �? `f - 3 Inventory Total Amount: 2 MSDS: License#: /►� Tier I[ : I Labeling: Spill Plan: Oil/WaterSeparator: Floor Drains: Emergency Numbers:T Storage Areas/Tanks: k&01"o�g 0+'t Emergency/Containment Equipment: Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil&stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: Inspector: I L Facility Representative: Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: / q / �q TOWN OF BARN STAB LE�y pe ,aw TOXIC AND HAZARDOUS MATERIALS RE FORM NAME OF BUSINESS: BUSINESS LOCATION: N 17 Yaln�� .►�� INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: � 1 %t 1 4, 1 CONTACT PERSON: o k4.� Mom+" EMERGENCY CONTACT TELEPHONE NUMBER: 'l'7y - $36 -284 7 MSDS ON SITE? TYPE OF BUSINESS: Avid 64e.s INFORMATION / RECOMMENDATIONS: Fire District: 51+e, cyan n�s Waste Transportation: NIA Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts(Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout. Swimming pool chlorine Battery acid(electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initial i TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM } NAME OF FIRM: Co►r Core MAILING ADDRESS: ql� Yarmov TELEPHONE NUMBER: CONTACT PERSON: Does your firm store any--of the toxic or-hazardous materials listed below; t either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO ,I This form must be returned to the Board of Health regardless of a YES or NO answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored in quantities totalling more than 50 gallons liquid volume or 25 pounds dry weight: Please put a check beside each product that you store: Antifreeze (for gasline or coolant systems) Refrigerants Automatic transmission fluid n Pesticides i i (insecticides, Engine and Radiator flushes herbicides,rodenticides) Hydraulic fluid (including brake fluid) Photochemicals Motor oils/waste oils Printing Ink Gasoline, Jet fuel Wood preservatives Diesel fuel, Kerosene, #2 heating oil (creosote) Other petroleum products: grease, Swimming Pool chlorine lubricants Lye or caustic soda Degreasers for engines and metal Jewelry cleaners Degreasers for driveways & garages Leather dyes Battery acid (electrolyte) Fertilizers (if stored Rustproofers outdoors) Car wash detergents PCB s Car waxes and polishes Other chlorinated hydro- Asphalt & roofing tar carbons, (inc.carbon Paints, varnishes, stains, dyes tetrachloride) Paint and lacquer thinners Any other products with Paint & Varnish removers, deglossers "Poison" labels (including Paint brush cleaners chloroform, formaldehyde, Floor & Furniture strippers hydrochloric acid, other Metal polishes acids) Laundry soil & stain removers Other products not listed (including bleach) _ r which you feel may be Spot removers & cleaning fluids " 4. v t- + (dry cleaners) HEALTH DEPT. toxic or hazardous (please Other cleaning solvents TOWN OF BARNSTABLE list'" Bug and tar removers Household cleansers, oven cleaners Drain cleaners Toilet cleaners 1, 31 Cesspool cleaners MAY 1 Disinfectants Road Salt (Halite) TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM M NAME OF FIRM: Ce I�1 MAILING ADDRESS: TELEPHONE NUMBER: CONTACT PERSON: fd ® Does your /firm store any of the toxic or hazardous materials fisted below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a YES or NO answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: i LIST OF TOXIC AND HAZARDOUS MATERIALS ! The Board of Health has determined that the following products exhibit toxic i or hazardous characteristics and must be registered when stored in quantities totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put a check beside each product that you store: I Antifreeze (for gasline- or coolant systems) Refrigerants Automatic transmission fluid w Pesticides (insecticides,; Engine and Radiator flushes herbicides,rodenticides) Hydraulic fluid (including brake fluid) Photochemicals Motor oils/waste oils Printing Ink Gasoline, Jet fuel Diesel fuel, Kerosene, #2 heating oil Wood preservatives Other petroleum products: grease, (creosote) I lubricants SwimmingPool chlorine engines for and metal Degreasers en Lye or caustic soda g li Degreasers for driveways & garages .Jewelry cleaners Leather dyes Battery acid (electrolyte) ustproofers Fertilizers (if stored '�' Car wash detergents outdoors) Car waxes and polishes PCB' s Asphalt & roofing tar Other chlorinated hydro- Paints, varnishes, stains, dyes carbons, (inc.carbon , ; Paint and lacquer thinners tetrachloride) Paint Any other products with&. Varnish removers, deglossers Paint brush cleaners "Poison" labels (including Floor & Furniture strippers chloroform, formaldehyde, Metal polishes hydrochloric acid, other Laundry soil & stain removers acids) Other products not listed � (including bleach) which you feel may be Spot removers & cleaning fluids (dry cleaners) toxic or hazardous (please Other cleaning solvents RECEIVED list) :----- i Bug and tar removers ��iE L H DEPT T . BLE Household cleansers, oven cleam��r•s Drain cleaners Toilet cleaners Cesspool cleaners Disinfectants 4 19B1 Road Salt (Halite) MAY M �TOW'N OF BARNSTAB'EE BOARD OF HEALTH CONTROL OF TOXIC AND HAZARDOUS MATERIALS - INSPECTION SHEET FI t ADDRESS r'1 Major types of materials: 1) , ) 3) 4) 5) ,6) I. Description of material(s) use: ,. II. Storage (denote product by numb'..r�listed above) A. Containers metal glass paper plastic cans,bottles,jars drums,barrels _ r aboveground tanks underground tanks bags,boxes open,loose,uncovered inadequate labelling B. Storage Facility Vor # Remarks/Recommenc-"Lions 1. Indoor a) separato, contained room b) stored in general work area i) inadequate ventilation ii) floor drains iii).. inadequate-fire=protect ion 't 2 Outdoor- a) uncovered, exposed to weather b) pervious surface/catch basins IhI . Disposal?. A: Reclamation/Recycling unit B. On-site disposal 1. Town sewer 2. Regular septic system ,� A� 3. Separate holding tank C. Off-site disposal 1. hauled by own firm 2. hired hauler a) name of hauler b) address or disposal site Perso.n(s) Interviewed _' — — _— — Inspector _ _ _ J Date I � �� — — - — — — — — 1 31 81 - - - - - - - - - - - - - - L_ nsatisfactory- IANCE: `. ' ` CLASS: 4. Marine,Gas Stations,Repai.r i OW�IV OF BARNSTABL� ` Printers BOARD OF HEALTH` factory 3 Auto Body Shops 4. ManufacturErs see"Orders ) S. Retail Stores COMPANY . 6. Fuel Suppliers ` 7. Miscellaneous ADDRESS {,, i .; ,� :;,; .Class. QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drum s AboveTanks Underground Tanks IN QVr IIN IOUT I IN UT # & _ggllonse rest? Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: .% waste motor oil (C) new motor oil. (C) transmission/hydraulic 7L- Synthetic Organics: !3 degreasers Miscellaneous 1 fr j DISPOSAL RECLAMATION REW.RKS. 1. Sanitary Sewage 2, Water Supply '�' � � f � F1, i"K. OTown Sewer O Public ( � °;; ,�� ' a -°�' rep _ V j 1 O On-site O Private P 3. .Indoor Floor Drains: YES NO Holding tank: MDC L O Catch basin/Dry well �y On'site system 4. Outdoor Surface drains-.YES NO O Holding, tank: MDC -- - Catch basin/Dry well / �• -% ., r'. > .� ===-c-'C� '-0 '�- - iT O On-sites stem 7. Y J` �.L. _, ��i Licensed? ,S. Waste Transporter �% - -Name of Hauler_ ,,.. r j'�`, c Wit•' ` d .+..: � i 4 '1- .,w r{.. �',, . .i�. C..1 ':1't' ^ ^,.,,., � � �� - �/' Person(s) Int.�rviewed ,\ nspecto`i Date ' I2 23 01